| NPI | 1992791891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN ROBERTS Clinical Director 941-258-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2012-09-20 |